<?php include 'site_header.php'; ?>
<?php include 'site_menu.php'; ?>
<link href="<?php echo base_url();?>assets/css/screen.css" rel="stylesheet" type="text/css" />

<div id="rightPan">
  	<!--<h1>Sistem Online Pendaftaran Taruna Baru<br /><p>Sekolan Tinggi Meteorologi, Klimatologi, dan Geofisika - Jakarta</p> </h1>-->
	 	<h1><p></p> </h1> 
			<div id="ambil">
<!-- Content -->
			<div class="wrapper">
				
<div class="container">
	<section id="content">
		<form method="post" action="<?php echo base_url();?>site/cetak">
			<h3>Mohon isi nomor tagihan dan nomor registrasi sesuai struk pembayaran dari bank BNI</h3>
			<div>
				<input name="username" type="text" placeholder="Nomor Pembayaran" required="" id="username" />
			</div>
			<div>
				<input name="password" type="password" placeholder="Nomor PIN" required="" id="password" />
			</div>
			<div>
				<input type="submit" value="CETAK" />
				<!--
				<a href="#">Lost your password?</a>
				<a href="#">Register</a>
				-->
			</div>
		</form><!-- form -->
		
		<!--<div class="button">-->
			<!--<a href="#">Download source file</a>-->
		<!--</div>--><!-- button -->
	</section><!-- content -->
</div><!-- container -->

</div>
</div>
</div>

<?php include 'site_footer.php'; ?>